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Questions 149

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Question 1 of 5

A nurse creates a care plan for a client diagnosed with a cerebellar brain tumor. The correct nursing diagnosis for this client is 'Client at risk for injury related to

Correct Answer: A

Rationale: Cerebellar tumors impair coordination and balance, increasing fall risk, making 'impaired balance' the most relevant diagnosis.

Question 2 of 5

The registered nurse is conducting an in-service for colleagues on the subject of peptic ulcers. The nurse would be correct in identifying which of the following as a causative factor?

Correct Answer: C

Rationale: H. pylori is a primary causative factor in peptic ulcers, contributing to mucosal damage and ulcer formation.

Question 3 of 5

The nurse is caring for a client admitted to labor and delivery. The nurse is aware that the infant is in distress if she notes:

Correct Answer: B

Rationale: Absent variability on the fetal monitor indicates fetal distress, suggesting compromised oxygenation.

Question 4 of 5

The nurse is assessing a client with suspected dehydration. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: dry mucous membranes and tented skin are signs of dehydration due to fluid loss

Question 5 of 5

A child is admitted to the emergency room following ingestion of a bottle of Children's Tylenol. The nurse is aware that Tylenol poisoning is treated with:

Correct Answer: A

Rationale: Acetylcysteine is the antidote for acetaminophen (Tylenol) overdose, protecting the liver from toxicity.

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